• Title/Summary/Keyword: behavior modification

검색결과 640건 처리시간 0.027초

새로이 발견된 고혈압 환자들의 약물치료 및 생활양식 개선의도와 순응도와의 관계 (The Relationship between Treatment Intention and Compliance in Newly Detected Hypertensive Patients)

  • 배상수;이석구
    • Journal of Preventive Medicine and Public Health
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    • 제34권4호
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    • pp.417-426
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    • 2001
  • Objectives : To analyse the psychosocial factors associated with hypertension management(drug treatment and life style modification) of newly detected cases and to understand and assess their behavioral intention or behaviors. Methods : The survey area was a combined urban and rural area in Chungnam province, Korea, and the sampling method was cluster sampling. Study subjects included 541 newly detected cases of hypertension rated above stage 2 by JNC-VI from a community survey. The first survey was applied to 383 of these patients in order to discern their psychosocial characteristics. A follow-up survey was given to 345 persons with an 11-month interval following monthly telephone counseling concerning medication and life style modification by trained nurses. The final study subjects for analysis comprised 271 persons after excluding cases of incomplete data and change of address. Results : Among the 85(33.2%) new patients who had intended to undergo drug treatment, 30(35.3%) persons were treated with antihypertensive agent after 11 - month interval, while among the patients with no intention to receive treatment, only 36(21.1%) persons were treated. Hypertensive patients with a high intention score revealed a high score in life style modification compliance as well. Seventy three percent of the variance of behavioral intention to undergo hypertension management was explained by the patients attitude toward performing the behavior and subjective norm associated with behaviors related to the theory of reasoned action in structural modeling. Actual behaviors related positively with behavioral intention. The coefficient of determination was 0.255. Conclusion : Improving the compliance level of hypertensive patients in respect to drug treatment or life style modification requires a build up of positive behavioral intention, and caregivers must pay more attention to eventually converting behavioral intention to actual behaviors.

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환경적 건강 관여 측정도구의 확인적 요인 분석 (Confirmatory Factor Analysis of the Environmental Health Engagement Profile)

  • 김현경
    • 부모자녀건강학회지
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    • 제17권1호
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    • pp.37-45
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    • 2014
  • Purpose: This study aimed to review measurements of environmental health behavior and assess the construct validity of Environmental Health Engagement Profile (EHEP) through confirmatory factor analysis. Methods: The literature review was performed for selection of measurements. Confirmatory factor analysis with AMOS 19.0 was used for validation of EHEP. Results: The model fitness was not appropriate in the one-factor model; $x^2=91.11$ (df=5, p<.001), Comparative Fit Index (CFI)=8.19, Non Normed Fit Index (NNFI)=6.39, and Root Mean Square Error of Approximation (RMSEA)=0.20. The model fitness was appropriate in the two-factor model; $x^2=3.19$ (df=1, p=.074), CFI=9.95, NNFI= 9.71, RMSEA=0.07. A modification of scale was found to be the most suitable for use in the investigation of environmental health behavior. Conclusion: This study confirms that a two-factor model underlies the concept of environmental health behavior. The review of measurements can help nurses and researchers to assess the environmental health behaviors.

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등방성 난류에서 침강하는 무거운 입자의 거동 (On behavior of settling heavy particles in isotropic turbulence)

  • 정재달;여경민;이창훈
    • 유체기계공업학회:학술대회논문집
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    • 유체기계공업학회 2006년 제4회 한국유체공학학술대회 논문집
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    • pp.437-440
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    • 2006
  • Particle suspension is frequently observed in many natural flows such as in the atmosphere and the ocean as well as in various engineering flows. Recently, airborne micro or nano-scale particles in atmosphere attract much attention from environmental society since small particle cause serious environmental problems in the industrialized areas. Also, the characteristics of such heavy particles' behavior is quite different from its fluid particles because the inertia force and buoyance force acting on the heavy particles are different than those acting on fluid particles. Therefore, our studies is to investigate the characteristics of the behavior of heavy particles considering the inertia effect with or without gravity effect, but do not consider modification of turbulence by the particles, that is one-way interaction. We carried out direct numerical simulation of isotropic turbulence with particles under the Stokes drag assumption for a spherical particle. These results can be used in the development of a stochastic model for predicting particle's behavior.

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LMC로 보강된 철근콘크리트 보의 파괴거동 (Fracture Behavior of Reinforced Concrete Beams Repaired by Latex-Modified Concrete)

  • 김성환;정원경;김기헌;김동호;윤경구
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2003년도 봄 학술발표회 논문집
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    • pp.475-480
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    • 2003
  • Latex modification of concrete provides the material with higher flexural strength. This increase in flexural strength can attribute to the crack-arresting action of polymer in concrete, and also to the bonding they provide between the matrix and aggregates. This experimental study presents the fracture behavior of 12 flexural reinforced concrete beams repaired or strengthened by latex-modified concrete with the main experimental variables such as overlay thickness, strength thickness, and shear reinforcement. The results are as follow: All beam specimens having shear reinforcement were failed by delamination rupture at concrete interface at about 80% of ultimate loading after flexural cracking. All specimens overlayed and strengthened by latex-modified concrete (LMC) showed higher ultimate flexural strength than OPC control specimen, but lower than LMC control specimen. This increase in flexural strength could attribute to the high bonding they provide between the matrix and aggregates. All specimens except two shear unreinforced showed quite similar and consistent displacement behavior. The effect of overlay and strength thickness on the load-displacement relationship were a small at this study.

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초등학교 아동의 문제행동 수정을 위한 미술치료 사례 연구 (A Case Study on Art Therapy for the Behavior modification of Elementary School Children)

  • 신화정
    • 초등상담연구
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    • 제7권1호
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    • pp.227-248
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    • 2008
  • This study aims to examine the effects of art therapy on challenging behavior of schoolchildren. For this purpose, I selected one class of 4th year student of S primary school, located at Jeongeup city, Jeonlabukdo, and selected 4 study subjects through examination of K-CBCL children. juvenile behavior evaluation scale, characters, school life and K - HTP test. With regard to procedure of this study, I carried out art therapy program at the art class for 60 minutes one time a week for 4 months, a total of 17 sessions from Apr. 3, 2007 to July 24, 2007. I made this program with some modification in reference to Arts Therapy Technique (Counpia Remote Training Center, 2005), Group Art Therapy (Choi Seon Nam. Kim Gap Sook. Jeon Jong Kuk, 2007) and the Effects of Peer Group Art Activity on Sociality Skill of Offensive Children (Park Ju Yeon. Lee Byeon In, 2005). For each child, I compared and analyzed the changes in score of K-CBCL children. juvenile behavior evaluation scale, behavior by K-HTP (dynamic house-wood-human figure test) analysis and by school life(KSD) image analysis before and after treatment. I also carried out qualitative analysis on behavioral feature of each child for each session. This study obtained the following conclusions. First, child A showed positive change in comparison before and after art treatment program of score K-CBCL children. juvenile behavior evaluation, K-HTP image test and school life. Since he was so active and wanted to obtain good evaluation from anyone that he frequently had quarrel with friends, spoke against others well and beaten others much but was changed and did not speak against others or beat. Second, child B showed clear difference in comparison before and after art treatment program of score K-CBCL children. juvenile behavior evaluation, but no significant difference in K-HTP image test and school life. However, I observed substantial changes. While he could not speak frankly to others, felt empty in mind and was offensive in personal relations, he was changed, did not have quarrel with others or speak against others that much and improved his relationship with friends or teachers. Third, child C showed positive change in score of K-CBCL children juvenile behavior evaluation after art therapy program. In comparison of K-HTP image test and school life treatment before and after treatment, he still longed for mothers in mind but found rather stable after treatment. Fourth, child D showed positive chance in score of K-CBCL children. juvenile behavior evaluation scale after art therapy program, but almost no changes in K-HTP image test. But he depicted good relationship and socializing with other friends in school life. While he could not carry his point due to social immaturity and felt depressed, he got more confident. This result of study showed that art therapy had positive effects on correction of schoolchildren.

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시청각 기구를 이용한 소아환자의 행동조절에 관한 연구 (EVALUATION OF PEDIATRIC DENIAL PATIENTS' BEHAVIOR AFTER USING AUDIO-VISUAL AIDS)

  • 염순준;박기태
    • 대한소아치과학회지
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    • 제29권2호
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    • pp.189-195
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    • 2002
  • 치과진료시 환아는 어느 정도의 공포를 느끼게 되고, 이에 따른 다양한 부정적 반응을 표출하게 된다. 소아환자의 행동조절을 위해 여러 방법들이 시도되어 왔고, 최근 소아치과 분야에서 사용이 증가하고 있는 시청각자료의 이용도 그 중의 하나이다. 본 연구에서는 시청각자료의 사용이 치과진료시 환아의 반응에 미치는 영향과, 환아의 나이, 치과병력, 일일 TV나 비디오 시청시간 등과의 상관관계를 알아보고자 하였다. 삼성서울병원 소아치과를 내원한 만 $3{\sim}6$세의 건강한 아동 30명을 동수의 두 군으로 나누어, 1군에서는 치료시 통상의 tell-show-do만을 시행하였고, 2군에서는 시청각기구의 사용을 병행하였다. 발치를 제외한 통상의 보존적 술식만 실행하였고, 초진시 설문지를 통해 환아의 나이, 치과병력유무, Frankl 행동지수, 일일 TV나 비디오 시청시간을 조사하여 중등도의 협조도를 보이는 환아만을 대상으로 하였다. 치료시 환아의 행동평가에는 Houpt 행동분류 지수를 이용, 수면유도, 움직임, 울음 및 전체적인 반응을 기록하였다. 초진시 조사한 두 군간의 나이와 일일 TV나 비디오 시청시간 사이에는 차이가 없었다. 수면유도에 있어서 시청각군에서 유의성있는 수면유도 효과를 보였으며, 움직임이나 울음에 대하여는 유의성있는 차이를 보이지 않았다. 전체적 반응에 대한 평가에서는 시청각군이 유의성있는 개선된 반응을 보였는데, 치과병력의 존재, 연령의 증가, 시청각매체와의 빈번한 접촉시 시청각자료를 이용한 행동조절에 보다 긍정적으로 반응하였다.

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저열량균형식, 운동 및 행동수정에 의한 비만여성의 치료에 관한 연구 (Treatment of Obese Women with Low Calorie Diet, Aerobic Exercise and Behavior Modificaiton)

  • 장경자
    • 한국식품영양과학회지
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    • 제24권4호
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    • pp.510-516
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    • 1995
  • 체지방이 30% 이상으로 비만이라 판정되는 20~62세의 지원자들에게 저열량 균형식, 무리하지 않은 유산소 운동 및 개인별 비만의 원인을 교정하고 평생체중을 조절하기 위한 영양상담과 교육을 포함한 행동수정을 통해 5주 동안 비만을 치료하고 성인병과 관련된 위험 요인들의 변화를 살펴보았다. 활동량, 식습관, 식이섭취조사를 실시하여 개인별 비만의 원인을 진단한 후 잘못된 식생활을 교정할 수 있도록 주 3회의 영양상담과 매주 1회의 영양교육을 실시하였다. 식이요법은 1일 1끼의식사와 3회의 조제식이를 통해 열량이 1200kcal 정도가 되고, 양질의 단백질, 비타민, 무기질은 성인 권장량의 100~150% 이상이 되도록 하였다. 식전에 식이섬유와 물을 복용하고 식사 기간은 20분 이상으로 천천히 섭취하도록 하였으며, 투긴음식, 가공식품, 패스트 푸두, 술, 청량음료, 달고 기름진 음식, 짜고 자극적인 음식 등은 제한하였다. 주당 3~5일간 1시간 정도의 가벼운 유산소 체조를 실험대상자 저원이 모여서 실시하였다. 먹은 식품, 활동, 운동, 감정상태, 피로여부 등을 일지로서 기록하게 하여 삼담을 통해 교정하고 관찰하여 긍정적인 내적동기를 갖도록 교육하였다. 비만치료 기간 중 탈락한 수는 총 16명 중 5명 (31.3%)이었으며, 비만도는 대상자의 대부분이 경증이고, 불규칙적인 식사, 빨리 먹는 습관, 과식, 짜게 먹는 습관, 야식, 음주 등의 비만의 원인이 되는 습관들을 가지고 있어 식습관 점수는 개선이 요구된다고 진단되었다. 5주동안의 비만치료로 체중은 평균 4.8kg(주당 0.96kg)이 감량 되었으며, 체지방, body mass index, 허리, 팔, 둔부의 둘레가 유의적으로 감소되었다. 혈압, 공복시의 혈당, 혈액증의 중성지방, 총콜레스테롤, HDL-콜레스테롤은 변화가 없었으나, LDL-콜레스테롤은 유의적으로 감소하였다.

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여고생의 라이프스타일에 따른 교복변형행동 비교 (A Study on School Uniform Modification According to Lifestyle in High School Girls)

  • 위은하
    • 한국가정과교육학회지
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    • 제20권3호
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    • pp.201-213
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    • 2008
  • 본 연구에서는 여고생들의 라이프스타일과 교복변형행동의 관련성이 있는지 알아보고 이를 토대로 여고생들의 올바른 교복착용을 위한 의생활지도의 기초자료를 제공하고자 하였다. 이를 위해 광주광역시 소재의 인문계, 전문계 고등학교 6개교 1, 2학년 학생 602명의 여고생을 대상으로 설문조사를 하였으며, 설문 자료의 분석은 SPSS WIN 12.0(Kr)을 사용하여 요인분석, K-평균 군집분석, 일원배치 분산분석(one-way ANOVA)을 실행하였다. 그 결과를 요약하면 다음과 같다. 본 연구에서는 여고생들의 라이프스타일에 따른 교복변형행동의 차이를 살펴보았으며 라이프스타일 유형간의 차이가 유의하게 크지는 않았다. 대부분의 여고생들은 교복변형을 찬성하고 있어 먼저 일반적 의복행동으로 이해되었으며 다음으로 라이프스타일의 영향을 받고 있었는데 디지털의존스타일이 다른 라이프스타일 유형과 다른 경향이 있었다. 따라서 학생문화의 하나로 자리 잡고 있는 학생들의 교복변형에 대해 정해진 규율에 맞춰 엄격히 단속하기보다 일정한 범위를 두어 개성을 표현하게하거나 속옷을 갖추어 착용하게 지도하는 것이 바람직하지 않을까 생각된다. 물론 교복의 기성복화에 따른 유행의 반영은 받아들이더라도 신체가 드러나서 부정적인 이미지를 주는 경우라면 적극적인 생활지도가 필요하리라고 생각된다.

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일부 대학생의 암 발생요인에 대한 지각과 암 관련 건강행위 (Cancer Risk Perception and Cancer Related Health Behavior in College Students)

  • 신계영;주미경
    • 종양간호연구
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    • 제10권2호
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    • pp.137-145
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    • 2010
  • Purpose: The purpose of this study was to survey the college students' perception of cancer risks, cancer related health behavior, and perception of cancer occurrence possibility before and after age 40. Methods: The subjects were 771 college students who were conveniently selected from two colleges in the Gyeonggi Province. Data were analyzed using SPSS WIN 12.0. Results: The mean score of cancer risk perception was 3.8. The highest score item was 'smoking may cause cancer'. The mean score of cancer related health behavior was 3.0. The highest score item was 'take bath or shower'. Student felt that possibility of developing cancer before age 40 was 20.1% and that after age 40 was 36.2%. The perception of cancer risks was significantly different between male and female, and the health behavior was significantly different between age groups. There were weak relationships between the perception of cancer risks and cancer related health behavior. Conclusion: College students' perception of cancer risks was mostly good, but their behavior to reduce the risks did not match the degree of perception. Students recognized that after age 40 has a higher risk of developing cancer, therefore, intervention on behavioral modification to reduce cancer risks would be beneficial.

초고층 다이아 그리드 구조의 실험적 내진성능계수 평가 (Experimental Evaluation of Seismic Performance Factors for Tall Diagrid Structure)

  • 배재훈;주영규;김영주;김상대
    • 한국강구조학회 논문집
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    • 제22권1호
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    • pp.75-85
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    • 2010
  • 최근 초고층 건물에 구조적인 측면을 고려한 Freeform Structure라는 개념이 등장하고 있다. 이 형태는 Diagrid, Cantilevered, Tilted로 대변될 수 있는데 특히 다이아 그리드 시스템은 횡저항에 하중의 흐름을 가새 프레임을 따라 분산시킴으로써 효율적인 거동을 보이기 때문에 그만큼 부재를 경량화시킬 수가 있다. 그러나 Diagrid 구조시스템의 내진성능 평가를 위한 반응수정계수에 대한 신뢰성 있는 자료가 없기 때문에 우수한 내진성능이 예상됨에도 불구하고 기타구조 등으로 설계되고 있다. 본 연구에서는 실대형 실험을 통해 Diagrid 구조의 반응수정계수를 실험적으로 규명하고자 한다.